Stellar Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

STELLAR VISION LLC

Practice address

1933 State Route 35 Ste 120
Wall Township, NJ 07719-3542

Phone

(732) 449-9503

Fax

(732) 974-7120

NPI assigned

Jan 7, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maya Brady, O.D.NPI 1104109263

Title

Owner

Phone

(732) 735-0377

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maya Brady, O.D.

  • Optometrist
  • Spring Lake, NJ
  • NPI 1104109263
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516924800000",
    "number": "1083070924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 WALL RD",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622237",
            "telephone_number": "732-735-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 STATE ROUTE 35 STE 120",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193542",
            "telephone_number": "732-449-9503",
            "fax_number": "732-974-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLAR VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2018-01-26",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-735-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Caroline Steward, RN, APN
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• Optometrist in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.